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Particle Beam Radiation Therapy for a Metastatic Tumor

  • The indication for particle beam radiation therapy is a solitary metastatic tumor diagnosed pathologically.
  • The tumor that undergoes treatment needs to be 2 cm or more away from the digestive track (stomach, duodenum, small and large intestines).
  • Please refer to the overview for requirements for particle beam radiation therapy in the applicable region.
  • The referral FAX form is the same for all regions. You can download the forms at the bottom of this page.

Metastatic Lung Tumor Treatment Criteria Overview


Beam Type No. of Fractions
Proton or carbon-ion 4 or 8

Applicable Stage Histological Type Max. Tumor Diameter Requirements Specific
Ineligibility
Criteria
rT0N0M1 Any 4 cm or less Peripheral metastatic lung tumor
No cancerous focus other than lung metastasis
shall be confirmed for 24 months or more.
Multiple lung metastasis
Severe interstitial pneumonia


Metastatic Liver Tumor Treatment Criteria
  (Proton/Carbon-ion Beam) Overview


Beam Type No. of Fractions
Proton 8
carbon-ion 8

Applicable Stage Histological Type Max. Tumor Diameter Requirements Specific
Ineligibility
Criteria
rT0N0M1 Any 4 cm or less No cancerous focus other than liver metastasis
shall be confirmed more than six months.
Multiple liver metastasis
Hepatic failure
(Child-Pugh: C)


Metastatic Bone and Soft Tissue Tumor Treatment
  Criteria  (Proton/Carbon-ion Beam) Overview


Beam Type No. of Fractions
Proton 8
carbon-ion 8

Applicable Stage Histological Type Requirements Specific
Ineligibility
Criteria
rT0N0M1
rT0N1M0
Any It should be a pathologically diagnosed metastatic bone tumor, metastatic soft tissue tumor or lymph node metastasis. Multiple metastatic tumors


Download

You can download the referral forms below. These forms should be submitted at the time of consultation.
Left-click on the file link below to download the referral forms. The file will open automatically.
To save the file, right-click and select "Save file."


□  Particle Beam Radiation Therapy Referral Fax Form
Metastatic Tumor Check Items/Test Items
[Word Format(46kB)]   [PDF Format(130kB)]


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